Wellformed AI

NPI 1679696322 · live from the CMS NPI Registry

Jonathan Adams

Social Worker in Dallas, TX. National Provider Identifier 1679696322, active.

NPI record

NPI1679696322 Type 1 · individual
StatusActive
Primary specialtySocial Worker 104100000X
Practice location901 S Ervay St, Dallas, TX 75201
Practice phone214-939-3933
Mailing addressPo Box 1714, Forney, TX 75126
EnumeratedApril 9, 2007
Last updatedJuly 8, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker primary104100000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.